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BUILDING- INSPECTOR RECO+ID
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Sleel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Bool Sheathino e r-b-74 /-(<2'/
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Beq
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL 6 -22-2o fzC,s ,rkne< V0
<br />Certilicate ol Occupancy
<br />'z-
<br />EtcNotes, Rem
<br />OTYNER BT'ILDET DELCANAfl ON
<br />I h€rehy rnim undd F.rh, of FrJnry th l m.r.nt rmm th. Co.rrrclm l.ien{ li$ ror $.follo*in8 rct{n (Sc?011.5
<br />Burim!{ lrn l}ofdinn CdL)r Ary Cily .r Cmnly *hi(h Ea!t.\ r Fmt h onrMr. 1116. iq'mE. d.tuhh 6r rFn ,,
<br />{Mrurc. prxr t' ill is\u(., il$ FquiEr rh. rmhanr r(tr su.h Frnrt h lit . silmd rrncEnr thd lE or dr i. li..ntd FtN.nl
<br />k, lhc Frvnhn\ of rlE ConlB.rorr l.i.nEtl trw rclEprd 9. (hnmNinS rirh Sdlion 7fixr of liitiib. .1 oi rrE ButiE( rd
<br />I\Dtci\nn\ CflL) d lhrr h. d rtF ir.rcq{ rh.r.non.d rlE h.r6 nn llr rll!.d cr.,tr$n A.y vhLliln.l S.tlion 7oll5t'yriy
<br />lrDliMtrl ror ! n rmil iubjcl< I hc opnliqnl t' ! cilil Ftuhy or io! mE rhntr nv. hundEd dolls{ ( 1500)
<br />L sr osftr of rh. lroFny, d myrnFbF.s lrh f,l8.t !r rrEn v,k q'n{rn\srtr,n. *illdo rhc *oir.tn trE derm h mr
<br />intcrH Gofirrcn tusb156 7M,r. Burirc$ r rn,rcsi.n C(k TIE (l'drelolr Ltcnr Ii* &f,\ tur nmly lo M ouN.f
<br />rlr FId, sh,tlildrdiqmBrlrE...^l\h.&Buhx him(ll or lntlf or I hmuth hir q tn o*n .q,lott i.
<br />nmvidc,l th0r ru.h iq'n,wnr.l! m nor ini.d.d or ofl(Rl f(tr {L ll, kJq.vd, lh. ttrildina or iqmEftnr is $U wirtun orc re
<br />or$rikrb( rh. O*rr Brlti rillhlE tlE hrd.i!ofFtrury fic lr m.lEdid ,t iB or iqx,E tlE Frdry lor rh.IrtIrEof
<br />-1,
<br />.\ u*rr ntth. fftp.ny. mc(turirly conrrrrhg s,llt lirn<d.onrdoh h mnnd rlt For..l (S< 701.1. aun6
<br />rrl Pnftssion Gdc: 'l hc Conr&i(tr\ Li..nrc hw dkr.or applylo an ownc, ot proFdy who hlilds o. inrrrcv.s rhs@n.
<br />rnd st n, a1. nr rsh FnFdr *nh! Conrdtrrtr ltcnrn Pt6ud rorlEConlsi.a\ Lirtrs lrw)
<br />I rr.(nrpr uftld Seri,tr
<br />qlrr,,l rt
<br />IIE1;I,AAAIIII!
<br />I h.rhy rflinn uM.r tf,ml'y rr pcqu.y oR olrhc nnb*inf Jsllrarn,n\:
<br />-l
<br />h!\. axt { 'll 'unr'in r ( .dirx!r. or (i,n*nr () Srlt I Nur. I(tr *vlcr' d'nrlEnd int. x Frvid.d for by Sdirn l7(t, ol rhc
<br />lih, (it.. ntr rh. tsnrnaRr ofrh. work ld uhth rh. Fnnir i! srkd
<br />I hr!. .nd wrll tuinrlin f,orkcr{ .omlEnralion iNUruR'., u! rcquircd by Sh-ri',n l7tl, ol I h. li6ot Cdc. ld rhc P.rtu,mm. .r
<br />rL m ror *hth rhn Fmr ir iisn i!, *nl6 s'qEnr.rirn inrurnrc ff* .,i Fiay nun*d m:
<br />-l
<br />Enifrrh, inllEFfortuolrh. *orl ar ehihrhisFnrir is tiEn.l tlull ,.rq'LyuyIEmnin..,lMN
<br />y, N b h..om rubjB! !o rh. Mddr con{xnslin,n bws ol C!lilo.ni!- ..d lsN rhri ir I *.uld lt{om lubJcd to t,r
<br />Bort6 onqrn-rbn prnrnan. of S.dhn ]r0o of rlt L.hr C.d.. I {r . ronh*irh d,r?ly eirh rnE FNinn!
<br />WARNING, FriluE ro soE krtc6 smf.nsdi,n d,v.E8. ir u.l,wtul. and 3lull ruhF! (.'nnkFr ro ainir.lF lir Md
<br />civil fiE! up b orc huidrd rhouqin dolLn ltlfil,fln), in dJnion lo Itr co{ of.on9..dion. drmt.r 8 ,trolU.n lor itE
<br />il"iti";i;.nc, inr.E{ Mtl rn..rr'r t
<br />xrl't.lBura)
<br />I ts$y .flirn oikr FMhy .r Fr,try rhrr I rm li:n .d unLr Frri.b. ol ClEris 9 (o,rlrfrin8 rnh Sdn. r0o)) n, Diviriotr l
<br />or rtu Busi,c$ Md Pmf.$i'ns Codc, ,Jxj iy li..n* h in tull r{nt 3d .rkcr
<br />coll,l:IatgxlN.LENpl8{i.atillcr
<br />I n Eby rfm !id.r FnIy or Frrry rhd Inc i. .ifudir Hi!.rcNy fd rlE Frmre of 'lr wl rot rtin On lEnn b
<br />irrEd (sa .]09r. ctu c.)
<br />L.nd.i! Nsm
<br />-
<br />aPPLICAlYrnFCT
<br />^n4Tr(nI hod1t !f@ ur&. Frh, or FrEy ok oI rrE foll'*i.8 d.<h,!l hns:
<br />D.mniion Pcrmih'Arlt{or N.riU.rrion F.n r.l R.8ul,ri'n.fr tc,lo, P!n6)
<br />-R.aoiEd
<br />l.||.r of f*rifdion
<br />I (drty rhr rh. r.d.El rceuldions Es&lin8 r.lslo. rcmr rl !rc di +tridt'k ro rhn pmFr
<br />I (nify th{t I h.vc a.d rhn rpnli.rtr. ul {arr rlur rrr lhtrt inturtuh i<coret la8rc n It *irh rll Ciry r lCounry
<br />ry !.d C.onry h ..rd uF'n rlrn.drMBB lnl Shtc ll*rEhrirE ildins cotrgnrii,( r! lEEll, .uthtrr. EF.errdnB ol
<br />rh'!c nr rtr)rtal In)r--.dr ld trN
<br />lt,t,li(Mr 0r 1,:ul Sixni
<br />4 $^ar.--ll"ln
<br />llndcr'r Addrc$
<br />f-------T------
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